--Bite sized pieces of information for you to ‘chew over’: --
- People who suffer TMD are more likely to have neck pain with several studies reporting dysfunction of the cervical spine in this population group (1-2).
- Even positioning the jaw differently through bad posture, clenching or chewing habits change jaw resting position and reduces the neck’s flexibility (3).
- Treatment of the cervical spine in TMD has been shown to increase range of movement in the jaw joint (TMJ) (4). Indeed in some cases, physiotherapy can be as effective in obtaining greater mouth opening as botox (a muscle relaxant) (5).
- Physiotherapy for both the jaw and the neck joints shows better results in treatment of the neck by itself (6-7).
Have a healthy World Oral Health Day and rest assured that we are well qualified to help you!
References:
- Armijo-Olivo SA, Fuentes J, Major PW, Warren S, Thie NM, Magee DJ 2010 The association between neck disability and jaw disability. Journal of Oral Rehabilitation 37: 670–679.
- Grondin F, Hall T, Laurentjoye M, Ella B 2015 Upper cervical range of motion is impaired in patients with temporomandibular disorders. Cranio 33: 91–99
- Grondin F, von Piekartz H, Hall T. (2017) Does altered mandibular position and dental occlusion influence upper cervical movement: A cross–sectional study in asymptomatic people. Musculoskeletal Science and Practice 27.
- La Touche R, Fernandez-de-las-Pena C, Fernandez-Carnero J, Escalante K, Angulo-Diaz-Parreno S, Paris-Alemany A 2009 The effects of manual therapy and exercise directed at the cervical spine on pain and pressure pain sensitivity in patients with myofascial temporomandibular disorders. Journal of Oral Rehabilitation 36: 644–652.
- Guarda-Nardini, L., Stecco, A., Stecco, C., Masiero, S. and Manfredini, D. (2012). Myofascial Pain of the Jaw Muscles: Comparison of Short-Term Effectiveness of Botulinum Toxin Injections and Fascial Manipulation Technique. CRANIO®, [online] 30(2), pp.95-102.
- von Piekartz H, Hall T 2013 Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: A rando- mized controlled trial. Manual Therapy 18: 345–350.
- Grondin F, Hall TM (2017) Changes in cervical movement impairment and pain following orofacial treatment in patients with chronic arthralgic temporomandibular disorder with pain: A prospective case series, Physiotherapy Theory and Practice, 33:1, 52-61
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